| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care ser per diem |
301,840 |
12,231 |
$96.40M |
| T2021 |
Day habil waiver per 15 min |
209,944 |
12,423 |
$38.25M |
| T2025 |
Waiver service, nos |
13,631 |
9,678 |
$20.92M |
| H2023 |
Supported employ, per 15 min |
55,041 |
4,274 |
$6.97M |
| T2022 |
Case management, per month |
26,724 |
25,694 |
$6.91M |
| T2023 |
Targeted case mgmt per month |
27,467 |
26,204 |
$6.67M |
| T1024 |
Team evaluation & management |
16,789 |
7,636 |
$4.21M |
| H2015 |
Comp comm supp svc, 15 min |
31,738 |
2,663 |
$2.55M |
| T1005 |
Respite care service 15 min |
15,942 |
3,479 |
$1.06M |
| T1016 |
Case management |
535 |
512 |
$163K |
| H2011 |
Crisis interven svc, 15 min |
286 |
12 |
$28K |